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General NPI Number Information
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NPI Number | 1356358311
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Entity Type | Individual
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Provider Name | JONATHAN L. MARINARO MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | ANESTHESIOLOGY & CRITICAL CARE MEDICINE UNMH - 2211 LOMAS BLVD. NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-272-2610
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Fax |
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Provider Business Mailing Address
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Address Line | 5605 N MACARTHUR BLVD STE 740
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City | IRVING
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State | TX
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Zip | 75038-2626
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Country | US
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Telephone | 214-960-5681
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Fax | 214-960-5681
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | W1457
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2002-0149
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | W1457
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD2002-0149
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | W1457
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License Number State | TX
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